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This is VAERS ID 279520

Case Details

VAERS ID: 279520 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:7
Submitted: 2007-05-14
   Days after onset:199
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Vaccine positive rechallenge, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA04535

Write-up: Information has been received from a nurse practitioner concerning a 25 year old female who on 20-OCT-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On approximately 27-OCT-2006 one week after receiving the first dose of Gardasil, the patient developed vomiting. On 19-DEC-2006, the patient received the second dose of Gardasil. On approximately 26-DEC-2006 one week after received the second dose of Gardasil, the patient developed vomiting. The patient sought unspecified medical attention. Subsequently on unspecified dates, the patient recovered from the events of vomiting. Additional information is not expected.

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